Individual
KEVIN M DONOVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
800 WASHINGTON ST, BOSTON, MA 02111-1552
(617) 636-5000
Mailing address
800 WASHINGTON ST, BOSTON, MA 02111-1552
(781) 407-7713
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
213875
MA
367500000X
Certified Registered Nurse Anesthetist
Primary
RN213875
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
67519
FALLON
MA
01
—
P00069271
RAILROAD
MA
Enumeration date
10/23/2006
Last updated
03/17/2018
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